Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $838.38 / $1,026.24	Professional		$527.41	$838.38	$1,026.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.59 / $1,340.67 / $1,658.51	Professional		$977.59	$1,340.67	$1,658.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $569.66 / $874.53 / $1,789.58	Professional		$569.66	$874.53	$1,789.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $635.15 / $1,387.40 / $5,321.00	Facility		$635.15	$1,387.40	$5,321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.42 / $1,126.31 / $4,416.88	Professional		$601.42	$1,126.31	$4,416.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,460.85 / $1,849.86	Facility		$953.00	$1,460.85	$1,849.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $788.00 / $1,297.50 / $1,668.17	Professional		$788.00	$1,297.50	$1,668.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,327.00 / $8,342.00	Facility		$4,217.00	$5,327.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.09 / $874.80 / $1,640.25	Professional		$574.09	$874.80	$1,640.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $959.69 / $1,214.80 / $1,429.20	Professional		$959.69	$1,214.80	$1,429.20